摘要
目的探讨经阴道超声(TVS)对妇科盆腔肿块的诊断价值。方法收集77例先后作经腹超声(TAS)和TVS检查的妇科盆腔肿块病例,均经TVS追踪确诊或术后病理证实的病例,了解诊断符合率。结果TVS可提供详细的肿块内部结构及组成,判断盆腔肿块来源;可估计盆腔脏器的相对活动性;能探测到TAS难以发现的病灶。TVS诊断符合率92.21%;TAS诊断符合率54.54%,两者有显著差异(P<0.05)。结论TVS对盆腔肿块的诊断可提供更早期、更详细、更准确的信息,但对于大于10cm者因TVS显示范围有限,需联合应用TAS与TVS,提高诊断的符合率。
Objective to evaluate the trans-vaginal ultrasonic (TV S) in the diagnosis of the gynecological pelvic mass. Methods In total 77 patients with gynecological pelvic mass were examined by both trans-abdominal ultrason ic (TAS) and TVS respectively. All cases were confirmed by follow up TVS evaluat ion or post-operation pathological examinations. The accordance rate of diagno sis is analyzed. Results TVS revealed detailed internal structure and compositi on of the mass, and indicated the origin of the pelvic mass as well as the relat ive mobility of the pelvic organs. It was able to identify tiny liquid collectio n and small mass undetectable with TAS in the pelvic cavity. The diagnostic acco rdance rate of TVS is 92.21% . The diagnostic accordance rate of TAS is 54.54% . Conclusion TVS can provide earlier, more detailed, correct information in the diagnosis of pelvic mass. Whereas, because of the limitation of the TVS display range, it is not suitable to the diagnosis of mass that are larger than 10cm. W e need to apply TVS and TAS in combination to improve the diagnostic accordance rate.
出处
《影像诊断与介入放射学》
2004年第3期192-193,共2页
Diagnostic Imaging & Interventional Radiology
